How many courses of treatment are needed to recover from fungal vaginitis?

Patient's question:

No

Doctor's answer:

Use alkaline solutions such as 2~4% sodium bicarbonate or soap water to rinse the external genitalia and vagina, altering the vaginal pH to make it unfavorable for mold growth. After rinsing, insert Nystatin tablets or suppositories into the vagina, with a dosage of 100,000~200,000 units each time, once daily, for a course of 10~14 days. Apply 3% miconazole cream to the external genitalia afterward for better results. For stubborn cases, oral fluconazole can be taken at 150 mg per day for three consecutive days. During treatment, sexual intercourse should be avoided, and underwear should be changed, washed, and boiled daily. After completing one course of treatment, a negative mold test result is required. Subsequent follow-up tests for mold should also be negative after each menstrual cycle. Three consecutive consolidation courses are needed to confirm cure. It is recommended that the male partner also undergo treatment. Shoes and socks should be washed separately from underwear. Condoms are advisable during sexual activity.

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